Top

Published in:

01-07-2016 | IUJ Video

Endoscopic lithotripsy and vaginal excision of a calcified bladder-mesh extrusion

Authors: H. Joaquín Alvarez Garzon, Baptiste Jacquemet, Nicolas Mottet, François Kleinclauss, Didier Riethmuller, Rajeev Ramanah

Published in: International Urogynecology Journal | Issue 7/2016

Abstract

Introduction and hypothesis

Synthetic meshes have proven to increase efficacy of pelvic organ prolapse (POP) repair, but associated complications are not rare. Bladder mesh extrusion is one of the most serious adverse events following POP surgery with mesh. The aim of this video was to describe endoscopic and vaginal approaches for treating a bladder-mesh extrusion.

Methods

A 52-year-old female patient with a history of vaginal POP surgery with mesh was referred for severe pelvic and perineal pain, dyspareunia, and dysuria. She was found to have a bladder calculus on a mesh extrusion. The calculus was removed by endoscopic lithotripsy before vaginal mesh excision was performed.

Conclusions

With the use of synthetic vaginal mesh, the incidence of bladder-mesh extrusion could increase. This didactic video will be helpful to surgeons required to manage such cases using a minimally invasive treatment.

Available only for authorised users

Maher C, Feiner B, Baessler K, Schmid C (2013) Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 4:CD004014. doi:10.1002/14651858.CD004014.pub5 PubMed

de Tayrac R, Sentilhes L (2013) Complications of pelvic organ prolapse surgery and methods of prevention. Int Urogynecol J 24(11):1859–72. doi:10.1007/s00192-013-2177-9 CrossRefPubMed

Wadie BS (2009) Endoscopic excision of an eroding calcified mesh sling, 10 years after primary surgery. Int Urogynecol J Pelvic Floor Dysfunct 20(2):255–7. doi:10.1007/s00192-008-0698-4 CrossRefPubMed

Campobasso D, Cerasi D, Fornia S, Meli S, Ferretti S, Cortellini P (2014) Endoscopic holmium laser management of tension-free vaginal tape eroded into the bladder. Int Urol Nephrol 46(8):1507–10. doi:10.1007/s11255-014-0672-7 CrossRefPubMed

Mustafa M, Wadie BS (2007) Bladder erosion of tension-free vaginal tape presented as vesical stone; management and review of literature. Int Urol Nephrol 39(2):453–5. doi:10.1007/s11255-006-9080-y CrossRefPubMed

Haylen BT, Freeman RM, Swift SE, Cosson M, Davila GW et al (2011) An International Urogynecological Association (IUGA)/International Continence Society (ICS)joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) & grafts in female pelvic floor surgery. Int Urogynecol J 22:3–15. doi:10.1007/s00192-010-1324-9 CrossRefPubMed

Araco F, Gravante G, Piccione E (2009) Bladder erosion after 2 years from cystocele repair with type I polypropylene mesh. Int Urogynecol J Pelvic Floor Dysfunct 20(6):731–3. doi:10.1007/s00192-008-0724-6 CrossRefPubMed

Blandon RE, Gebhart JB, Trabuco EC, Klingele CJ (2009) Complications from vaginally placed mesh in pelvic reconstructive surgery. Int Urogynecol J Pelvic Floor Dysfunct 20(5):523–31. doi:10.1007/s00192-009-0818-9 CrossRefPubMed

Title: Endoscopic lithotripsy and vaginal excision of a calcified bladder-mesh extrusion
Authors: H. Joaquín Alvarez Garzon
Baptiste Jacquemet
Nicolas Mottet
François Kleinclauss
Didier Riethmuller
Rajeev Ramanah
Publication date: 01-07-2016
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 7/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-015-2934-z

At a glance: The STEP trials

Springer Medicine

Endoscopic lithotripsy and vaginal excision of a calcified bladder-mesh extrusion

Abstract

Introduction and hypothesis

Methods

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Conclusions

Please log in to get access to this content

Other articles of this Issue 7/2016

TVT ABBREVO: cadaveric study of tape position in foramen obturatum and adductor region

Influence of TVT properties on outcomes of midurethral sling procedures: high-stiffness versus low-stiffness tape

A new method for the evaluation of pelvic organ prolapse in women using a three-dimensional optic scanner

The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis

Selected abstracts from the annual research meeting of the British Society of Urogynaecology 2015

Mini-laparoscopic sacrocolpopexy for apical and posterior female pelvic organ prolapse